Bimekizumab-induced eczematous eruption treated successfully with sequential upadacitinib and dupilumab therapy
Main Article Content
Keywords
General dermatology, Medical dermatology, Immunodermatology, Biologics, Drug response, Clinical research
Abstract
Bimekizumab, a selective IL-17A and IL-17F inhibitor, is FDA-approved for the treatment of adults with moderate-to-severe plaque psoriasis and psoriatic arthritis. While IL-17 inhibitors are generally well tolerated, there have been reports of eczematous eruptions after starting treatment with this medication class. Herein, we report a case of bimekizumab-induced eczematous eruption that partially cleared with upadacitinib (selective oral JAK 1 inhibitor), but ultimately required switching to dupilumab to achieve complete skin clearance.
References
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2. Merola JF, Landewé R, McInnes IB, et al. Bimekizumab in patients with active psoriatic arthritis and previous inadequate response or intolerance to tumour necrosis factor-α inhibitors: a randomised, double-blind, placebo-controlled, phase 3 trial (BE COMPLETE). Lancet. 2023;401(10370):38-48. doi:10.1016/S0140-6736(22)02303-0
3. Al-Janabi A, Foulkes AC, Mason K, Smith CH, Griffiths CEM, Warren RB. Phenotypic switch to eczema in patients receiving biologics for plaque psoriasis: a systematic review. J Eur Acad Dermatol Venereol. 2020;34(7):1440-1448. doi:10.1111/jdv.16246
4. Gargiulo L, Narcisi A, Ibba L, et al. Effectiveness and safety of bimekizumab for the treatment of plaque psoriasis: a real-life multicenter study-IL PSO (Italian landscape psoriasis). Front Med (Lausanne). 2023;10:1243843. Published 2023 Aug 8. doi:10.3389/fmed.2023.1243843
5. Blum AE, Burgin S. Eczematous Drug Eruptions. Am J Clin Dermatol. 2021;22(3):349-366. doi:10.1007/s40257-021-00586-8
6. Megna M, Caiazzo G, Parisi M, et al. Eczematous drug eruption in patients with psoriasis under anti-interleukin-17A: does interleukin-22 play a key role?. Clin Exp Dermatol. 2022;47(5):918-925. doi:10.1111/ced.15052
7. Yousif J, Al-Dehneem R, Kaskas N, Gottlieb AB. A Case Series of Patients With Eczematous Eruptions Following IL-17 Inhibitor Treatment for Psoriasis Vulgaris. J Drugs Dermatol. 2023;22(12):1225-1227. doi:10.36849/JDD.7388
8. Guttman-Yassky E, Krueger JG: Atopic dermatitis and psoriasis: two different immune diseases or one spectrum?. Curr Opin Immunol. 2017, 48:68-73. 10.1016/j.coi.2017.08.008
9. Burlando M, Cozzani E, Russo R, Parodi A. Atopic-like dermatitis after secukinumab injection: A case report. Dermatol Ther. 2019;32(1):e12751. doi:10.1111/dth.12751
10. Barry K, Zancanaro P, Casseres R, Dumont N, Rosmarin D. A retrospective review of dupilumab and psoriasis biologic combination therapy. J Dermatolog Treat. 2021;32(4):438-439. doi:10.1080/09546634.2019.1659481